| NPI | 1750864856 |
|---|---|
| Former Name | LESA MARIE HOGEBOOM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 18731) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2019-02-27 |